Cheron Marcell Puryear, PT | |
5078 Williamsport Pike Ste I, Martinsburg, WV 25404-6458 | |
(304) 271-8895 | |
(304) 271-8891 |
Full Name | Cheron Marcell Puryear |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5078 Williamsport Pike Ste I, Martinsburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164024014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305213941 (Virginia) | Secondary |
225100000X | Physical Therapist | (West Virginia) | Primary |
Provider Name | Professional Sportscare & Rehab Of West Virginia Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548404577 PECOS PAC ID: 7719037027 Enrollment ID: O20090609000006 |
Mailing Address | Practice Location Address |
---|---|
Cheron Marcell Puryear, PT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Cheron Marcell Puryear, PT 5078 Williamsport Pike Ste I, Martinsburg, WV 25404-6458 Ph: (304) 271-8895 |
Dr. Rickard Dustin Jones, PT, DPT, ATC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 772 Foxcroft Ave, Martinsburg, WV 25401 Phone: 304-262-8161 | |
Lauree Lorensen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1008 Tavern Rd Ste 200, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-8348 | |
Dr. Chrystal L Mcdonald, MPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Rock Cliff Dr, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-8348 | |
Mr. Justin P Lowe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 855 Caperton Blvd, Martinsburg, WV 25403 Phone: 414-566-3803 Fax: 414-566-3803 | |
Amy Lynn Lowe, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Rock Cliff Dr, Martinsburg, WV 25401 Phone: 304-267-0866 Fax: 304-267-0867 | |
Elizabeth Thacker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Retail Commons Pkwy Ste 3, Martinsburg, WV 25403 Phone: 681-252-9250 | |
April Lea Perkins, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1002 Tavern Rd, Martinsburg, WV 25401 Phone: 304-264-1214 |